LAVONDA K MICKENS (NPI# 1316192073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316192073 |
| Entity Type | Individual |
| Full Name | LAVONDA K MICKENS |
| Credential | PHD |
| Practice Address |
3450 Chestnut St 3rd Floor New Orleans LA 70115-2443 |
| Mailing Address |
Po Box 62243 New Orleans LA 70162-2243 |
| Practice Telephone | 5044121580 |
| Practice Fax Number | 5044121530 |
| Mailing Telephone | 5044121100 |
| Enumeration Date | 2008-11-22 |
| Last Update Date | 2008-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
3450 CHESTNUT ST 3RD FLOOR |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70115-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659393460 | Michele M Many | Social Worker | 3450 Chestnut St, 3rd Floo, New Orleans, LA 70115-2443 | 2006-07-24 |
| 1669922290 | Virginia Irish Hatch | Psychologist | 3450 Chestnut St, New Orleans, LA 70115-2443 | 2016-10-06 |
| 1215356738 | Sarah Thomas | Student in an Organized Health Care Education/Training Program | 3450 Chestnut St, Lsu Behavioral Sciences Center, New Orleans, LA 70115-6826 | 2014-04-11 |
| 1134548001 | Christine Helen Schock | Student in an Organized Health Care Education/Training Program | 3450 Chestnut St, New Orleans, LA 70115-2443 | 2014-04-08 |
| 1467893537 | Erin T Reuther | Psychologist | 3450 Chestnut St, New Orleans, LA 70115-2443 | 2013-07-17 |
| 1780946491 | Manika Khanna | Student in an Organized Health Care Education/Training Program | 3450 Chestnut St, 3rd Floor, New Orleans, LA 70115-2443 | 2012-06-10 |
| 1235498031 | Kate Cuno | Psychologist | 3450 Chestnut St, 3rd Floor, New Orleans, LA 70115-2443 | 2012-05-14 |
| 1023376498 | Lsu Healthcare Network | Student in an Organized Health Care Education/Training Program | 3450 Chestnut St, 3rd Floor, New Orleans, LA 70115-2443 | 2012-04-24 |
| 1962798561 | Lsu Healthcare Network | Student in an Organized Health Care Education/Training Program | 3450 Chestnut St, 3rd Floor, New Orleans, LA 70115-2443 | 2011-06-22 |
| 1033403423 | Taronish Irani | Student in an Organized Health Care Education/Training Program | 3450 Chestnut St, 3rd Floor, New Orleans, LA 70115-2443 | 2011-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
| 1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
| 1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
| 1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
| 1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
| 1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
| Find all providers in zip 70115 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760647663 | William E Fowler | Psychologist | 309 Crystal St, New Orleans, LA 70124-2619 | 2008-07-21 |
| 1548456189 | Courtney N. Baker | Psychologist | 6400 Freret St, Psychology Dept., 2007 Percival Stern Hall, New Orleans, LA 70118-5636 | 2007-09-18 |
| 1831750645 | Kasia Plessy | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-23 |
| 1114588142 | Jamil Monique Gilliam | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-20 |
| 1891351326 | Bianchini-esteve-edwards LLC | Psychologist | 7252 Lakeshore Dr, New Orleans, LA 70124-2433 | 2019-05-09 |
| 1578025185 | Margaret Smith | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-04-02 |
| 1699293746 | Clifton Mixon | Psychologist | 1319 Jefferson Hwy, New Orleans, LA 70121 | 2017-09-08 |
| 1811419526 | Kristen Elise Pearson | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2017-07-13 |
| 1851701486 | Lynn Parker | Psychologist | 644 N Carrollton Ave, New Orleans, LA 70119 | 2014-05-05 |
| 1780946459 | Jenna Rosen | Psychologist | 1430 Tulane Ave, #8055, New Orleans, LA 70112-2632 | 2012-06-08 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.